The Clinical Director in the first instance and approved by the Medical Director on behalf of the Chief Executive. This plan will be reviewed annually and will provide an opportunity for discussion of the individuals personal development plan and for appraisal. The annual review will be used to check that the record of fixed and flexible sessions is accurate and compliant with the EWTD, covers on-call commitments and is compatible with the agreed template for the speciality and that any problems arising can be resolved. This also provides an opportunity for constructive debate about the individuals personal development plan including CPD and any evolving special interests, which the appointee may wish to pursue. Further SPA time will be available if the post holder wishes to take on other additional responsibilities such as clinical governance lead or educational supervision of trainees. Category II work may be undertaken within the Terms and Conditions of Service and may be discussed and revised at this review. Clinical Governance/Audit is undertaken as an ongoing programme within the Region. It is expected that the appointee will be actively involved in this and all routine clinical duties should be suspended during these sessions.The new appointee will have the opportunity to be mentored by a senior consultant in the department on a weekly basis. Dr Thomas Pulimood will be the lead mentor.